Individual
CHANDRA KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
306 STANAFORD RD, BECKLEY, WV 25801-3142
(304) 237-5690
Mailing address
306 STANAFORD RD, BECKLEY, WV 25801-3142
(304) 237-5690
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
01573
WV
Other
Enumeration date
09/13/2011
Last updated
05/04/2015
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